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* 1. Please identify the main reasons you chose to use Moore Cortner Funeral Home. (Please choose all that applies)

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* 2. Was Moore Cortner Funeral Home your first choice?

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* 3. If no, why not?

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* 4. Please evaluate Moore Cortner based on the following:

  Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
Initial contact with the firm (phone, email, visit)
Attention to detail
Sensitivity of the Funeral Director
Courtesy of the staff overall
Preparation and appearance of the deceased
Flexibility / Willingness to meet special request 
Information provided to help in decision making
Variety of available services and merchandise
Freedom and time to make decisions without pressure
Clarity of pricing and payment options
Tribute / Memorialization options (video, website, Facebook)
Creativity of Service and support options
Overall impression of the service / ceremony
Overall rating of the services of the firm
Value of services received compared to the price you paid
Value of merchandise purchased (casket, vault, urn) to the price that was payed

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* 5. Please provide any additional comments regarding the Funeral Home and / or the services you received.

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* 6. Would you recommend Moore Cortner to family and friends?

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* 7. What specific aspects meant the most to you and what if anything could have been done to make your experience better.

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* 8. If you would like to recognize specific staff members for their excellent care or poor service please identify them and share your comments regarding that person.

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* 9. May someone reach out to you in regards to your survey responses?

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* 10. Would you like to receive information about the following?

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* 11. May we use your comments and feedback on Facebook and our Website?

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* 12. If so, may we use your name, city and state?

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* 13. If you would like for us to reach out to you with more information, please fill in the fields below.

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